Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to continue a Required Annual Inspection which began on 06-14-2024. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Marites Chiapoco. LPA also spoke with Administrator Elizabeth Velasco via phone during the visit.

According to the facility’s license, the facility has a maximum capacity of six (6) clients, of which all may be ambulatory or non-ambulatory, but none may be bedridden. Per LPA observation, LIC602 Physician’s Reports, and staff interviews: During today’s inspection, there were a total of five (5) clients in care, of which two (2) were ambulatory, three (3) were non-ambulatory, and none were bedridden. The facility did not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Licensee’s staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was complaint at 73 F. Hot water temperature at taps accessible to clients were also compliant: Kitchen Sink was 111.6 F, Bathroom #1 Sink was 110.7 F, and Bathroom #2 Sink was 109.9 F. Appliances to preserve perishable food were also compliant in temperature: Kitchen Refrigerator was 37 F and Kitchen Freezer was 0 F. Garage Refrigerator was 39 F and Garage Freezer was 0 F. There was at least two (2) days of perishable food, and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. [CONTINUED ON LIC 809-C, 1 of 2]